<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216401
Report Date: 02/08/2024
Date Signed: 02/08/2024 01:18:49 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/31/2024 and conducted by Evaluator Martina Jimenez
COMPLAINT CONTROL NUMBER: 17-CC-20240131161205
FACILITY NAME:ABONCE FAMILY CHILD CAREFACILITY NUMBER:
426216401
ADMINISTRATOR:MICAELA ABONCEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 717-1592
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:14CENSUS: 7DATE:
02/08/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Michaela AbonceTIME COMPLETED:
01:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Over capacity
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 2/8/2024, Licensing Program Analysts (LPAs) Martina Jimenez, and Joaquin Mendez, made an unannounced inspection to initiate the investigation of the above allegation. LPAs met with Michaela Abonce, licensee, and Rosa Montejano Trejo, assistant. Let it be noted that Maria Garcia Espinosa, assistant, arrived to the home at 11:13 am.

LPAs explained the purpose/nature of the inspection and together, LPAs and licensee toured the interior and exterior of the home . LPAs observed one (1) infant and six (6) children in care at the time of the inspection.

LPAs interviewed the licensee regarding the above allegation. The licensee stated licensee has been over the license capacity on more than three occasions. LPAs obtain a copy of the facility roster at the time of the inspection.
CONT LIC 9099-C, LIC 9099D

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 17-CC-20240131161205
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ABONCE FAMILY CHILD CARE
FACILITY NUMBER: 426216401
VISIT DATE: 02/08/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The investigation included one (1) unannounced inspections, LPAs observation, interview with licensee, review of children's files, documents and obtain a copy of the facility roster obtained during the inspection.

The allegation references the facility is operating over capacity. LPAs observation, interview with licensee and documents reviewed revealed FCCH is operating over capacity.

Today’s visit was conducted in Spanish by LPA Jimenez. Based on LPA’s observation, interview with licensee, record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation, (Title 22 Division 12 and 102416.5(d)(2) is being cited on the attached LIC 9099 D).

Licensee requested for LPA not to read the report aloud and would like to read the report later on her own time.


Today, deficiency cited under Title 22 Division 12, Appeal rights provided to licensee. Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC 9099 and LIC 9099 D.

LPA provided the Licensee a Notice of Site (LIC 9213) visit which was posted in the LPA's presence. this REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS. LPA observed the "Notice of Site Visit" posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20240131161205
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ABONCE FAMILY CHILD CARE
FACILITY NUMBER: 426216401
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/09/2024
Section Cited
CCR
102416.5(d)(2)
1
2
3
4
5
6
7
For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:
1
2
3
4
5
6
7
Licensee will submit a written POC on how licensee will prevent future incidents from occurring to CCLD by 02/09/2024, via email: Martina.Jimenez@dss.ca.gov
8
9
10
11
12
13
14
(2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met. This regulation was not met by The licensee stated licensee has been over the license capacity on more than three occasions, This poses an immediate risk to health, safety or personnel rights of persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3